NOTE: If registering multiple participants, please use the head of household's information.

NOTE: You will be able to select how many participants you are adding as well as their names at the end of this registration process.

Phone*

Date of Birth*

Address*

Street AddressAddress Line 2CityStateZIP Code

RELEASE OF ALL CLAIMS

On this date, in consideration of my or my child's participation in all of the Marshall Township Recreation Program activities in which I or my child participate(s), I, intending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive and release, acquit and forever discharge the Township of Marshall, or the Township of Marshall Parks and Recreation Department, or any of their officers, agents, employees, instructors, representatives, successors, and/or assigns and any and all other persons, firms and corporations, whether herein named or referred to or not, from any and all future rights, claims, causes of action, civil or criminal claims, demands, costs, attorneys fees, loss of service, expenses, compensation, third party actions, suits at law or equity, including suits for contribution and indemnity, of whatever nature, and all consequential damages on account of, or in any way associated with the above-mentioned program or with arriving to and/or returning from any activity associated with the program.

I/we further state that I/we have carefully read the foregoing release and know the contents thereof, and I/we sign the same as my/our own free act. I/we acknowledge that signature by either parent or by one guardian hereby binds all parents and/or guardians of any minor participant.

Date*

Claims & Terms Agreement*

Yes, I approve and understand these terms

No, I do not agree or understand these terms

Participant Signature*

Parent /and/or Guardian Signature

Only needed in the event that participant is a minor

Permission To Use Photograph

In addition I agree that Marshall Township may use such photographs of me with or without my name and for any lawful purpose, including for example
such purposes as publicity, illustration, advertising, and Web content.

Photo Permission

Yes, I do premit my photo to be taken

No, I don not premit my photo to be taken

Parent /and/or Guardian Signature

Only needed in the event that participant is a minor

If registering multiple participants, add their names and birthdates here.